Request For Undergraduate Application Fee Waiver Template

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Request for Undergraduate Application Fee Waiver
University of Wisconsin-Milwaukee
Department of Enrollment Services – Undergraduate Admissions
PLEASE PRINT
X X X - X X -
Name: ____________________________________ Social Security Number:
(Last four digits only)
Address: ________________________________________________________________________________
City/State/Zip: ____________________________________________________________________________
Term applying for:
Fall 20___
Spring 20___
Summer 20___
Type of applicant:
New Freshman
New Transfer
Other: _______________
High school graduation date: ________________________ Birth date: ______________________________
Month/Year
Please state in detail your specific reason(s) for requesting this waiver of the undergraduate application fee.
Fee waivers are only valid for one semester. If you choose to delay admission, you must submit another fee waiver request.
Fee waivers are granted solely on the basis of financial need. Examples that show financial need include, but are not limited
to, unemployment of parent/guardian, being on the school reduced- or free-lunch program, and underemployment in relation
to family size.
Please be specific in stating your reason for requesting a waiver. Fee waivers will not be granted to applicants who do not
demonstrate financial need.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Please make sure you provide the appropriate signatures on the next page.

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